Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Active
Other names
Kasraeian Urology Divison of ICON
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD KASRAEIAN MD (KASRAEIAN UROLOGY DIVISION MANAGER)
(904) 727-7955
Entity
Organization
Contact information
Practice address
6269 BEACH BLVD, SUITE 2, JACKSONVILLE, FL 32216-2768
(904) 727-7955
(904) 727-7976
Mailing address
6269 BEACH BLVD, SUITE 2, JACKSONVILLE, FL 32216-2768
(904) 727-7955
(877) 406-4796
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273427300
—
FL
Enumeration date
01/06/2011
Last updated
06/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us